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NPI Code Detail

MEDICARE: DR. STEVEN C KEETON DDS

MEDICARE: DR. STEVEN C KEETON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223D0001XPublic Health DentistryDS3794TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073516902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN C KEETON DDS
Provider Business Mailing Address
First Line : 9121 BRITISH STATION LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-9468
Country : US
Telephone Number : 865-690-6651
Fax Number :
Provider Business Practice Location Address
First Line : 140 DAMERON AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-6413
Country : US
Telephone Number : 865-215-5163
Fax Number : 865-215-5295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/30/2011

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Directions to “ DR. STEVEN C KEETON DDS” Practice Location

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